Provider Demographics
NPI:1124028196
Name:WOODS, WILLIAM E (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:351 S GREENLEAF AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARK CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60085
Mailing Address - Country:US
Mailing Address - Phone:847-244-4110
Mailing Address - Fax:847-244-4494
Practice Address - Street 1:351 S GREENLEAF AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:PARK CITY
Practice Address - State:IL
Practice Address - Zip Code:60085
Practice Address - Country:US
Practice Address - Phone:847-244-4110
Practice Address - Fax:847-244-4494
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C40153Medicare UPIN
IL246582Medicare ID - Type Unspecified
K24635Medicare PIN